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1.
BMC Biol ; 22(1): 96, 2024 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-38679748

RESUMO

BACKGROUND: The early Cambrian arthropod clade Megacheira, also referred to as great appendage arthropods, comprised a group of diminutive and elongated predators during the early Palaeozoic era, around 518 million years ago. In addition to those identified in the mid-Cambrian Burgess Shale biota, numerous species are documented in the renowned 518-million-year-old Chengjiang biota of South China. Notably, one species, Tanglangia longicaudata, has remained inadequately understood due to limited available material and technological constraints. In this study, we, for the first time, examined eight fossil specimens (six individuals) utilizing state-of-the-art µCT and computer-based 3D rendering techniques to unveil the hitherto hidden ventral and appendicular morphology of this species. RESULTS: We have identified a set of slender endopodites gradually narrowing distally, along with a leaf-shaped exopodite adorned with fringed setae along its margins, and a small putative exite attached to the basipodite. Our techniques have further revealed the presence of four pairs of biramous appendages in the head, aligning with the recently reported six-segmented head in other early euarthropods. Additionally, we have discerned two peduncle elements for the great appendage. These findings underscore that, despite the morphological diversity observed in early euarthropods, there exists similarity in appendicular morphology across various groups. In addition, we critically examine the existing literature on this taxon, disentangling previous mislabelings, mentions, descriptions, and, most importantly, illustrations. CONCLUSIONS: The µCT-based investigation of fossil material of Tanglangia longicaudata, a distinctive early Cambrian euarthropod from the renowned Chengjiang biota, enhances our comprehensive understanding of the evolutionary morphology of the Megacheira. Its overall morphological features, including large cup-shaped eyes, raptorial great appendages, and a remarkably elongated telson, suggest its potential ecological role as a crepuscular predator and adept swimmer in turbid waters.


Assuntos
Artrópodes , Fósseis , Animais , Fósseis/anatomia & histologia , Artrópodes/anatomia & histologia , China , Evolução Biológica , Biota , Microtomografia por Raio-X
2.
Proc Biol Sci ; 290(2002): 20230638, 2023 07 12.
Artigo em Inglês | MEDLINE | ID: mdl-37403497

RESUMO

The stem-group euarthropod Anomalocaris canadensis is one of the largest Cambrian animals and is often considered the quintessential apex predator of its time. This radiodont is commonly interpreted as a demersal hunter, responsible for inflicting injuries seen in benthic trilobites. However, controversy surrounds the ability of A. canadensis to use its spinose frontal appendages to masticate or even manipulate biomineralized prey. Here, we apply a new integrative computational approach, combining three-dimensional digital modelling, kinematics, finite-element analysis (FEA) and computational fluid dynamics (CFD) to rigorously analyse an A. canadensis feeding appendage and test its morphofunctional limits. These models corroborate a raptorial function, but expose inconsistencies with a capacity for durophagy. In particular, FEA results show that certain parts of the appendage would have experienced high degrees of plastic deformation, especially at the endites, the points of impact with prey. The CFD results demonstrate that outstretched appendages produced low drag and hence represented the optimal orientation for speed, permitting acceleration bursts to capture prey. These data, when combined with evidence regarding the functional morphology of its oral cone, eyes, body flaps and tail fan, suggest that A. canadensis was an agile nektonic predator that fed on soft-bodied animals swimming in a well-lit water column above the benthos. The lifestyle of A. canadensis and that of other radiodonts, including plausible durophages, suggests that niche partitioning across this clade influenced the dynamics of Cambrian food webs, impacting on a diverse array of organisms at different sizes, tiers and trophic levels.


Assuntos
Artrópodes , Animais , Artrópodes/anatomia & histologia , Evolução Biológica , Fósseis , Cadeia Alimentar , Estado Nutricional , Comportamento Predatório
3.
Ecol Evol ; 14(5): e11303, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38766312

RESUMO

Chelicerae, distinctive feeding appendages in chelicerates, such as spiders, scorpions, or horseshoe crabs, can be classified based on their orientation relative to the body axis simplified as either orthognathous (parallel) or labidognathous (inclined), exhibiting considerable diversity across various taxa. Among extinct chelicerates, sea scorpions belonging to the Pterygotidae represent the only chelicerates possessing markedly elongated chelicerae relative to body length. Despite various hypotheses regarding the potential ecological functions and feeding movements of these structures, no comprehensive 3D kinematic investigation has been conducted yet to test these ideas. In this study, we generated a comprehensive 3D model of the pterygotid Acutiramus, making the elongated right chelicera movable by equipping it with virtual joint axes for conducting Range of Motion analyses. Due to the absence in the fossil record of a clear indication of the chelicerae orientation and their potential lateral or ventral movements (vertical or horizontal insertion of joint axis 1), we explored the Range of Motion analyses under four distinct kinematic settings with two orientation modes (euthygnathous, klinogathous) analogous to the terminology of the terrestrial relatives. The most plausible kinematic setting involved euthygnathous chelicerae being folded ventrally over a horizontal joint axis. This configuration positioned the chelicera closest to the oral opening. Concerning the maximum excursion angle, our analysis revealed that the chela could open up to 70°, while it could be retracted against the basal element to a maximum of 145°. The maximum excursion in the proximal joint varied between 55° and 120° based on the insertion and orientation. Our findings underscore the utility of applying 3D kinematics to fossilized arthropods for addressing inquiries on functional ecology such as prey capture and handling, enabling insights into their possible behavioral patterns. Pterygotidae likely captured and processed their prey using the chelicerae, subsequently transporting it to the oral opening with the assistance of other prosomal appendages.

4.
Integr Zool ; 2023 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-38123465

RESUMO

Heterochely denotes the presence of dissimilarly sized chelipeds on opposite sides of the body, a prevalent occurrence in diverse crustaceans. Conversely, heterometry pertains to the quantifiable disparities in size between these chelipeds. Both chelipeds hold pivotal roles in activities such as foraging, mating, and defense. Consequently, individuals of both genders in heterochelic species exhibit this morphological pattern. Previous studies have identified sexual dimorphism in cheliped size, with males displaying larger major chelipeds compared to females, albeit solely relying on propodus length as a size proxy and focusing solely on the major cheliped. In our study, we meticulously examined 190 specimens of the common European hermit crab Pagurus bernhardus from two collections. We sought to elucidate allometric relationships and assess whether heterometry exhibited sex-based differences when adjusting for body size by using ratios. Our findings revealed that male chelipeds displayed hyperallometric growth relative to females, and all three calculated heterometry indices exhibited significant disparities between the sexes. Consequently, male specimens exhibited larger major and minor chelipeds, even when theoretically matched for body size with females. This phenomenon may be attributed, among other factors, to male-male contests. Should indirect mate selection favor males with larger chelipeds in proportion to their body size, this dynamic could potentiate sexual selection in their favor.

5.
Integr Zool ; 17(1): 156-167, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34532979

RESUMO

Amblypygi are tropical and subtropical ambush predators that use elongated, raptorial pedipalps for different activities. Although pedipalp use in predation and courtship has been explored in videography in vivo analyses, kinematic ex vivo examination of these appendages has not been conducted. Here, we rectify this lack of data by using micro-CT scans to 3D-kinematically model the appendage morphology and the range of motion (ROM) of the joints for Damon medius and Heterophrynus elaphus. We illustrate the successful application of this technique to terrestrial euarthropods in determining the maximum ROM values for each pedipalp joint. We also note that, in life, these values would be lower due to motion restricting structures like tendons, arthrodial membranes, and muscles. We further compare our maximum values obtained here with data from video-based motion analyses. The ROM of each joint shows the greatest flexibility in the femur-tibia joint (140-150°), the lowest in the basitarsus-claw joint (35-40°). ROM in the tibia-basitarsus joint is markedly distinct (D. medius: 44°; H. elaphus: 105°). This disparity reflects how H. elaphus uses the joint in the capture basket, while D. medius uses the femur-tibia joint to form the capture basket. We further illustrate notable vertical motion of the H. elaphus pedipalp compared to D. medius. This difference reflects the retro-ventral trochanter apophysis of H. elaphus. Our study opens the possibility to further whip spider kinematic understanding. Examination of other taxa using this approach will result in a more comprehensive understanding of the ecological significance and ethological implications of this unique arachnid group.


Assuntos
Extremidades , Aranhas , Animais , Fenômenos Biomecânicos , Aranhas/anatomia & histologia
6.
iScience ; 25(1): 103662, 2022 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-35024591

RESUMO

Megalograptidae and Mixopteridae with elongate, spinose prosomal appendages are unique early Palaeozoic sea scorpions (Eurypterida). These features were presumably used for hunting, an untested hypothesis. Here, we present 3D model-based kinematic range of motion (ROM) analyses of Megalograptus ohioensis and Mixopterus kiaeri and compare these to modern analogs. This comparison confirms that the eurypterid appendages were likely raptorial, used in grabbing and holding prey for consumption. The Megalograptus ohioensis model illustrates notable Appendage III flexibility, indicating hypertrophied spines on Appendage III may have held prey, while Appendage II likely ripped immobilized prey. Mixopterus kiaeri, conversely, constructed a capture basket with Appendage III, and impaled prey with Appendage II elongated spines. Thus, megalograptid and mixopterid frontalmost appendages constructed a double basket system prior to moving dismembered prey to the chelicerae. Such 3D kinematic modeling presents a more complete understanding of these peculiar euchelicerates and highlights their possible position within past ecosystems.

7.
Philos Trans R Soc Lond B Biol Sci ; 377(1847): 20210030, 2022 03 28.
Artigo em Inglês | MEDLINE | ID: mdl-35125003

RESUMO

The Cambrian Stage 3 Chengjiang biota in South China is one of the most influential Konservat-Lagerstätten worldwide thanks to the fossilization of diverse non-biomineralizing organisms through pyritization. Despite their contributions to understanding the evolution of early animals, several Chengjiang species remain poorly known owing to their scarcity and/or incomplete preservation. Here, we use micro-computed tomography to reveal in detail the ventral appendage organization of the enigmatic non-trilobite artiopod Pygmaclypeatus daziensis-one of the rarest euarthropods in Chengjiang-and explore its functional ecology and broader evolutionary significance. Pygmaclypeatus daziensis possesses a set of uniramous antennae and 14 pairs of post-antennal biramous appendages, the latter of which show an unexpectedly high degree of heteronomy based on the localized differentiation of the protopodite, endopodite and exopodite along with the antero-posterior body axis. The small body size (less than 2 cm), the presence of delicate spinose endites and well-developed exopodites with multiple paddle-shaped lamellae on the appendages of P. daziensis indicate a nekto-benthic mode of life and a scavenging/detritus feeding strategy. Pygmaclypeatus daziensis shows that appendage heteronomy is phylogenetically widespread within Artiopoda-the megadiverse clade that includes trilobites and their relatives with non-biomineralizing exoskeletons-and suggests that a single exopodite lobe with paddle-like lamellae is ancestral for this clade. This article is part of the theme issue 'The impact of Chinese palaeontology on evolutionary research'.


Assuntos
Artrópodes , Fósseis , Animais , Evolução Biológica , Paleontologia , Microtomografia por Raio-X
8.
Biology (Basel) ; 11(8)2022 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-36009864

RESUMO

The artiopodans represent a diverse group of euarthropods with a typically flattened dorsal exoskeleton that covers numerous pairs of biramous ventral appendages, and which are ubiquitous faunal components of the 518-million-year-old Chengjiang Lagerstätte in South China. Despite their abundance, several Chengjiang artiopodans remain poorly known, such as the large euarthropoda Retifacies abnormalis, Hou, Chen & Lu, 1989, which is distinguished by the presence of mesh-like ornamentation on its dorsal exoskeleton. Although only a few ventral details were described in a single study in 25 years, it has been frequently featured in phylogenetic analyses that explore the relationships between Cambrian euarthropods. Here, we employ micro-CT and fluorescent microphotography to investigate the exceptionally preserved ventral morphology of R. abnormalis and explore its phylogenetic implications through maximum parsimony and Bayesian inference. Detailed morphology revealed here better supports R. abnormalis as a sister group to the diminutive artiopod Pygmaclypeatus daziensis, also known from Chengjiang, and strengthens the close relationship of these taxa that have been suggested by previous studies as early-branching representatives of Trilobitomorpha. Cephalic appendages suggest this animal might be a scavenger, possibly feeding on soft-bodied organisms. Different pairs of pygidial appendages suggest an anamorphic post-embryonic ontogeny, which adds to the understanding of the developmental mode of Cambrian artiopods, and further supports the statement that post-hatching segment addition occurred in the ancestor of Euarthropoda.

9.
Microsc Res Tech ; 84(4): 695-704, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33155750

RESUMO

Understanding the functional morphology and mobility of appendages of fossil animals is important for exploring ecological traits such as feeding and locomotion. Previous work on fossils from the 518 million-year-old Chengjiang biota of China was based mainly on two-dimensional information captured from the surface of the specimens. Only recently, µCT techniques started to reveal almost the entire, though flattened and compressed, three-dimensionally preserved morphologies of the arthropods from Chengjiang. This allows more accurate work on reconstructing the possible movement of certain structures such as the appendages. Here, we present a workflow on how to reconstruct the mobility of a limb of the early Chengjiang arthropod Ercaicunia multinodosa from the famous Chinese fossil site. Based on µCT scans of the fossil, we rendered surface models of the 13th-15th right endopods using the 3D visualization and 3D-rendering software Amira. The 3D objects then were postprocessed (Collapse Hierarchy, Unify Normals) in SAP 3D Visual Enterprise Author before being imported into the 3D animation program Autodesk Maya 2020. Using the add-on tool X_ROMM in Maya, we illustrate step-by-step on how to make the articles of the limbs swing-in toward each other. Eventually, we propose several possible limb movements of E. multinodosa, which helps to understand how this early arthropod could have moved its endopods.


Assuntos
Artrópodes , Animais , Fenômenos Biomecânicos , China , Fósseis , Locomoção , Fluxo de Trabalho
10.
Nat Commun ; 12(1): 4619, 2021 07 30.
Artigo em Inglês | MEDLINE | ID: mdl-34330912

RESUMO

The last common ancestor of all living arthropods had biramous postantennal appendages, with an endopodite and exopodite branching off the limb base. Morphological evidence for homology of these rami between crustaceans and chelicerates has, however, been challenged by data from clonal composition and from knockout of leg patterning genes. Cambrian arthropod fossils have been cited as providing support for competing hypotheses about biramy but have shed little light on additional lateral outgrowths, known as exites. Here we draw on microtomographic imaging of the Cambrian great-appendage arthropod Leanchoilia to reveal a previously undetected exite at the base of most appendages, composed of overlapping lamellae. A morphologically similar, and we infer homologous, exite is documented in the same position in members of the trilobite-allied Artiopoda. This early Cambrian exite morphology supplements an emerging picture from gene expression that exites may have a deeper origin in arthropod phylogeny than has been appreciated.


Assuntos
Artrópodes/anatomia & histologia , Extremidades/anatomia & histologia , Fósseis , Modelos Anatômicos , Animais , Artrópodes/classificação , Evolução Biológica , Especificidade da Espécie , Microtomografia por Raio-X/métodos
11.
BMC Ecol Evol ; 21(1): 127, 2021 06 21.
Artigo em Inglês | MEDLINE | ID: mdl-34154529

RESUMO

BACKGROUND: The Chengjiang biota from southwest China (518-million-years old, early Cambrian) has yielded nearly 300 species, of which more than 80 species represent early chelicerates, crustaceans and relatives. The application of µCT-techniques combined with 3D software (e.g., Drishti), has been shown to be a powerful tool in revealing and analyzing 3D features of the Chengjiang euarthropods. In order to address several open questions that remained from previous studies on the morphology of the xandarellid euarthropod Sinoburius lunaris, we reinvestigated the µCT data with Amira to obtain a different approach of visualization and to generate new volume-rendered models. Furthermore, we used Blender to design 3D models showing aspects of intraspecific variation. RESULTS: New findings are: (1) antennulae consist of additional proximal articles that have not been detected before; (2) compared to other appendages, the second post-antennular appendage has a unique shape, and its endopod is comprised of only five articles (instead of seven); (3) the pygidium bears four pairs of appendages which are observed in all specimens. On the other hand, differences between specimens also have been detected. These include the presence/absence of diplotergites resulting in different numbers of post-antennular appendages and tergites and different distances between the tip of the hypostome and the anterior margin of the head shield. CONCLUSIONS: Those new observations reveal intraspecific variation among Chengjiang euarthropods not observed before and encourage considerations about possible sexual dimorphic pairs or ontogenetic stages. Sinoburius lunaris is a variable species with respect to its morphological characters, cautioning that taxon-specific variabilities need to be considered when exploring new species.


Assuntos
Artrópodes , Fósseis , Animais , China , Extremidades/anatomia & histologia , Cabeça/anatomia & histologia
12.
J Morphol ; 281(12): 1547-1566, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33108680

RESUMO

Swimming crabs of the taxon Portunoidea show specialized, paddle-shaped fifth pereiopods (P5), which play a role in these crabs' ability to swim. In this study, the morphology of the fifth pereiopod in swimming and non-swimming crabs was studied in detail and the mobility in the articulations between podomeres was calculated from reconstructed three-dimensional (3D)-models. This way, we aimed to provide new estimates of kinematic parameters, and to answer the question on a possible homology of the P5 within several portunoid clades. We measured and compared podomere length ratios, orientations of the joint axes, and modeled single range of motion (sROM) of each joint as well as the total range of motion (tROM) of all joints of the P5 as a whole. Seven Portunoidea species, four of them belonging to the P5-swimming crab morphotype (Liocarcinus depurator, Polybius henslowii, Callinectes sapidus, Portunus pelagicus) and three not belonging to this morphotype (Carcinus aestuarii, Portumnus latipes, and with uncertain status Carupa tenuipes) were compared with the non-portunoids Sternodromia monodi, Ranina ranina, Raninoides bouvieri, Eriocheir sinensis, Varuna litterata, Ashtoret lunaris, and Cancer pagurus. The study was carried out using a combination of microcomputer tomography (µCT)-techniques and 3D-reconstructions. The µCT-data were used to create surface models of the P5 in Amira, which were then 3D-animated and manipulated in Maya to qualitatively compare modeled kinematic parameters. Results show that the merus and carpus in swimming crabs are shorter than in non-swimming crabs, while sROM angles are generally larger. The tROM of all joints expressed as Euclidean distances is generally higher in the portunoids (except for Carcinus). Our comparison of the complete trajectory of the dactylus tip regarding all maximum joint positions of the studied species suggests that the P5-swimming leg might have evolved once in the Portunoidea and got lost afterward in certain clades.


Assuntos
Braquiúros/anatomia & histologia , Braquiúros/fisiologia , Imageamento Tridimensional , Natação/fisiologia , Animais , Fenômenos Biomecânicos , Articulações/anatomia & histologia , Articulações/fisiologia , Amplitude de Movimento Articular/fisiologia , Terminologia como Assunto
13.
Psychiatr Prax ; 45(3): 126-132, 2018 04.
Artigo em Alemão | MEDLINE | ID: mdl-29361643

RESUMO

The role of the relatives in the context of the "euthanasia" "Aktion T4" ("T4" campaign) has been controversially discussed in recent years. Based on documents of the National Socialist bureaucracy, statements of asylum psychiatrists in the year 1945 to the French occupation force as well as letters from relatives to Weissenau asylum in Wuerttemberg, these sources are analysed here in the light of the reactions of family members in respect to "Aktion T4". The results testify to a broad spectrum of responses of relatives, which are mainly characterised by fear, helplessness and protest.


Assuntos
Eutanásia , Relações Familiares , Transtornos Mentais , Alemanha , Hospitais Psiquiátricos , Humanos , Socialismo Nacional
16.
Offentl Gesundheitswes ; 53(8-9): 534-7, 1991.
Artigo em Alemão | MEDLINE | ID: mdl-1837886

RESUMO

It is unfortunate that mental patients with long-term hospitalisation patterns are still necessarily scheduled for long-term stay in mental hospitals and institutions designed for the care and treatment of psychiatric cases, since such institutions are characterised by a rather sterile, low-stimulation atmosphere underlining rather than relieving the severity of the disease. This article presents a possible alternative, namely, care of mental patients within the framework of a foster family; these patients had been hospitalised for a long time and are now living in families who are remunerated for their efforts and are given medical assistance in performing their task as hosts. The design of an empirical study is explained.


Assuntos
Atividades Cotidianas/psicologia , Cuidados no Lar de Adoção/métodos , Esquizofrenia/reabilitação , Psicologia do Esquizofrênico , Doença Crônica , Alemanha , Humanos , Assistência de Longa Duração
17.
Psychiatr Prax ; 19(2): 46-51, 1992 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-1603867

RESUMO

At the end of the so-called "Weimar Republic" in German between the two world wars, and during the time of the Nazi regime, the psychiatric hospital and asylum in Tapiau near Königsberg/Kaliningrad had the highest incidence of psychiatric patients being looked after on an out-patient basis by host families. Data on this type of psychiatric care by external families were repeatedly published in detail between 1930 and 1937 by Karl Knapp, a psychiatrist who was actively engaged there for many years. After sterilisation of mentally diseased patients had been legally enforced and finances were restricted, family care stagnated, promoting instead a type of family care that was independent of psychiatric hospitals and was carried out on a "district" basis. After 1940, when in the course of enforcement of euthanasia almost all the inmates of psychiatric hospitals and asylums in East Prussia were murdered, the traces of patients entrusted to host family care faded out.


Assuntos
Eutanásia/história , Cuidados no Lar de Adoção/história , Hospitais Psiquiátricos/história , Transtornos Mentais/história , Alemanha , História do Século XX , Humanos
18.
Nervenarzt ; 66(11): 858-63, 1995 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-8532103

RESUMO

Two case-reports highlight the problems of co-morbidity of schizophrenia and borderline disorder. On the other hand, borderline disorder in schizophrenia can represent a pre-existent, lasting personality disorder, on the other hand it can be temporary syndrome in the course of illness. The assumption that a borderline syndrome can be a recompensation stage in the course of schizophrenia seems evident by clinical and psychodynamic points of view (concerning a coping strategy). The present categories of DSM III-R and ICD-10, however, do not allow an adequate diagnostic classification of this syndrome.


Assuntos
Transtorno da Personalidade Borderline/diagnóstico , Esquizofrenia/diagnóstico , Psicologia do Esquizofrênico , Adulto , Transtorno da Personalidade Borderline/classificação , Transtorno da Personalidade Borderline/psicologia , Comorbidade , Diagnóstico Diferencial , Feminino , Humanos , Desenvolvimento da Personalidade , Escalas de Graduação Psiquiátrica , Teoria Psicanalítica , Esquizofrenia/classificação
19.
Psychother Psychosom Med Psychol ; 41(6): 224-31, 1991 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-1886975

RESUMO

Psychiatric family care is a therapeutic environment for mentally ill long-term patients that pays particular attention to the individuality of the patient, contrary to the hospitalising psychiatric clinic. The influence exercised by the host family on the positive development of the integration process is undisputed in literature, but has been hardly investigated so far in respect of its actual contents. Those who are practically engaged in family care have been discussing for some time whether successful integration is effected by "good host families" or by the special constellation that develops between the host family and the guest. The present article tries to emphasise (following a review of the literature) on the basis of a discontinued family care episode that integration into a host family is not a static affair but a highly sensitive process determined by the biography of the guest and the integration between host family and guest (or guests). The possible consequences for the care process are discussed.


Assuntos
Desinstitucionalização , Terapia Familiar/métodos , Cuidados no Lar de Adoção/psicologia , Pacientes Desistentes do Tratamento/psicologia , Esquizofrenia/reabilitação , Psicologia do Esquizofrênico , Família/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Meio Social
20.
Pharmacopsychiatry ; 29(3): 111-4, 1996 May.
Artigo em Inglês | MEDLINE | ID: mdl-8738316

RESUMO

We report on a 27-year-old woman with previously therapy-resistant obsessive-compulsive disorder and emotionally unstable personality disorder, borderline type, which improved considerably on treatment with clozapine. Previous treatment attempts with paroxetine, clomipramine and various classic and atypical neuroleptics, as well as extensive psychotherapeutic treatment, had proved ineffective.


Assuntos
Antipsicóticos/uso terapêutico , Transtorno da Personalidade Borderline/tratamento farmacológico , Clozapina/uso terapêutico , Transtorno Obsessivo-Compulsivo/tratamento farmacológico , Adulto , Agressão/psicologia , Transtorno da Personalidade Borderline/complicações , Transtorno da Personalidade Borderline/psicologia , Feminino , Humanos , Transtorno Obsessivo-Compulsivo/complicações , Transtorno Obsessivo-Compulsivo/psicologia
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